Organization · Type 2 NPI

Charleston Cancer Center PA

Hematology & Oncology Physician · North Charleston, SC

NPI number 1043220627 Active

Practice location

2910 Tricom St
North Charleston, SC 29406-9350

Call (843) 572-9211 Map

Fax (843) 572-0457

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician 207RH0003XNone listed
Hematology & Oncology Physician Primary 207RH0003X11628 (SC)
Hematology & Oncology Physician 207RH0003X18607 (SC)
Hematology & Oncology Physician 207RH0003X19684 (SC)
Hematology & Oncology Physician 207RH0003X32155 (SC)
Hematology & Oncology Physician 207RH0003X30018 (SC)
Physician Assistant 363A00000XPA2273 (SC)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

13 other providers at this address

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About NPI 1043220627

Charleston Cancer Center PA's National Provider Identifier is 1043220627, issued on Aug 8, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in North Charleston, SC. The record was last updated on Feb 15, 2016.